Individual provider Active NPI

Louis Humberto Grass III, CRNA

  • Certified Registered Nurse Anesthetist
  • Lemoore, CA
National Provider Identifier
1114298338
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95001504 Issued in CA
Practice address
937 Franklin Blvd
Lemoore, CA 93246-4700
Phone
(559) 998-2648
NPI assigned
Jan 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 631223 CA
Flight Registered Nurse 163WF0300X RN 3218152 FL
Certified Registered Nurse Anesthetist 367500000X APRN3218152 FL
Certified Registered Nurse Anesthetist 367500000X 87789 FL
Certified Registered Nurse Anesthetist 367500000X NA95001504 CA Primary

Addresses

Primary practice location

937 Franklin Blvd
Lemoore, CA 93246-4700

Mailing address

PO Box 555191
Camp Pendleton, CA 92055-5191
Phone (760) 685-1296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171229001750 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668730326 Reassigns benefits to 1 organization
I20220204002190 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668730326 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929

Merit-based Incentive Payment System (MIPS)

Final score
81.66 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN 3218152FLMDFlight Registered Nurse
NA95001504CAMDCertified Registered Nurse Anesthetist
87789FLMDCertified Registered Nurse Anesthetist
APRN3218152FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Oct 31, 2021 Accepting new patients
Hypnos Anesthesia a Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2024 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Comfort Anesthesia Associates Inc CurrentSince Apr 30, 2024 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 5, 2018 Accepting new patients
Comprehensive Anesthesia, a California Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Jul 9, 2023 Accepting new patients
Oak Creek Anesthesia Services, Inc. CurrentSince Aug 22, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 31, 2021 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 5, 2018 Accepting new patients

Locations

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1114298338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555191",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-685-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN BLVD",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932464700",
            "telephone_number": "559-998-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASS",
        "first_name": "LOUIS",
        "middle_name": "HUMBERTO",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-19",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "631223",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "FL",
            "license": "RN 3218152",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN3218152",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "87789",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95001504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.